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Adaptation Model for Family Caregiver of Cancer Patient (암환자 가족 중 주간호제공자의 적응모형구축)

  • Shin, Gye-Young
    • Asian Oncology Nursing
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    • v.2 no.1
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    • pp.5-16
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    • 2002
  • Purpose: This study was to develop a stress-adaptation model for family caregivers of cancer patients that could provide the basis of planning nursing intervention. Method: A hypothetical model was developed using the family adaptation model proposed by Haley et al. (1987). In the literature, the stressor was identified as patient's characteristics, caregiver's characteristics, duration of illness, and family life events. It affected stress appraisal, family resources, family coping and finally caregiver's adaptation. In this model, 18 paths were constructed. Data were collected from 241 caregivers, whose family members were in treatment between June and August 2000, at 3 university hospitals and were analyzed by SPSS and LISREL programs. Results: 1) The overall fitness indices of the hypothetical model were x 2=267.78 (P= .0), GFI= .92, AGFI= .87, NFI= .93, NNFI= .93, PNFI= .64, PGFI= .55, and RMR= .43. Ten of the eighteen paths proved to be significant. 2) To improve the model fitness, the hypothetical model was modified considering modification indices and the paths proved not significant. Final model excluded 3 paths demonstrated to be improved by x2=161.96 (P= .00), GFI= .95, AGFI= .91, NFI= .96, NNFI= .96, and RMR= .23. Twelve of fifteen paths proved to be significant. 3) Stress appraisal was influenced by disease related characteristics and duration of illness and was explained 22% of the variance. Family resources were influenced by stress appraisal and was explained 57% of variance. Family coping was influenced by disease related characteristics, caregiver's characteristics, duration of illness, family life event, and stress appraisal and was explained 57% of variance. Family caregiver adaptation was influenced by disease related characteristics, caregiver's characteristics, stress appraisal, and family coping and was explained 31% of variance. Twelve of fifteen paths were significant. Conclusion: Based on this study, to help family caregivers to adapt, individual intervention is necessary with consideration of disease related and caregiver's characteristics and duration of illness. The intervention should include efforts to raise the family resources and to identify positively the stress they encounter, and there is a need to establish an adaptation model that considers emotional aspects of family caregivers. Since there is a difference in emotional status depending on the disease stage, a study needs to be done to analyze the differences among the disease stages (diagnosis, treatment, recurrence, and terminal stages).

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AN ATTEMPT TO IMPROVETIDELANDA FORMARINE BIVALVES (2) The physical and chemical compositions of Tapes Philippinarum beds in Kyunggi Bay (해산패류 증식을 위한 간석지 개척에 관한 연구(2) 경기만내 Tapes Philippinarum 서식지 토양의 물리화학적 조성에 관하여)

  • LEE Choonkoo;CHANG Nam Kee
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.2 no.2
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    • pp.155-160
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    • 1969
  • The soil textures and chemical compositions of Tapes Philippinarum beds were investigated in order to estimate the grade of the habitat soil of T. Philippinarum for the improvement of natural tidal flats. The coefficients of correlation between tile percentages of debris, coarse sand, fine sand, silt, and clay of the habitat soil, and the population density of T. Philippinarum were 0.78, 0.73, -0.42, -0.68, and -0.51 respectively. And the optimum levels of same were above $13.5\%,\;above\;23.0\%\;below\;41.5\%,\;below\;10.0\%$, and below $6.8\%$ respectively The $SiO_2\;Al_2O_3+Fe_2O_3$ ratio of the soil of T. Philippinarum beds showed the range of 5.09 to 5.60. The levels of soil pH, water holding capacity, organic matter, total nitrogen, available phosphorus, exchangeable magnesium were 6.15-6.60, $4.26-6.86\%$, $0.40-1.10\%$ 14.0-27.0 ppm, $0.041-0.394\%,\;and\;0.009-0.132\%$ respectively.

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Studies on the Effect of Environmental Pollution on the Structure of Plant Community (환경오염(環境汚染)이 식물군집(食物群集)에 미치는 영향(影響)에 관(關)한 연구(硏究))

  • Kim, Tae-Wook;Lee, Kyong-Jae;Park, In-Hyeop;Kim, Joon-Seon
    • Korean Journal of Environmental Agriculture
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    • v.2 no.1
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    • pp.35-44
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    • 1983
  • In order to elucidate the change of plant community of natural forests caused by air pollution in the area of Mt. Dosjil of Ulsan city, 25 study subplots, 5 subplots from each 5 plots were set up. These plots lay along gradients of chronic exposure to airborne sulfur dioxide ($SO_2$), fluorides(F) and possibly other pollutants. Total nitrogen, organic matter, available $P_2O_5$, and CEC were generally depressed near industrial sourecs of air pollutants. The author found a total 7 species near sources of air pollutants and 13 species at the utmost plot from air pollutants. Number of individuals, species diversity, evenness, similarity index and biomass were generally depressed near the industrial source of air pollutants. Tolerant plants to air pollution is Cyperus amuricus, Calamagrostis arundinacea, Bidens bipinnata, Cocculus trilobus, Digtaria sanguinalis, Persicaria hydropiper, Pinus thunbergii, Ambrosia artemisiifolia var. elatior, Rhododendron schlippenbachii and Robinia pseudoacacia. It contains 4.41ton/ha of aboveground biomass of Robinia pseudoacacia in damaged forest by air pollution and 39.47ton/ha of it in the non-attacked forest. The annual net production is 0.67ton/ha. yr in damaged forest and $7.73ton/ha{\cdot}yr$ in the non-attacked forest.

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The Correlation Between Clinical Features and Radiographic Grades in Massive Rotator Cuff Tear Patients (광범위 회전근 개 파열에서 방사선학적 소견과 임상 소견 간의 관계)

  • Moon, Eun-Sun;Kim, Myung-Sun;Choi, Min-Sun;Kim, Hyung-Won;Lim, Keun-Young
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.223-229
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    • 2010
  • Purpose: The purpose of this study was to determine the correlation between the radiographic and clinical findings of massive rotator cuff tears. Materials and Methods: Forty-five diagnosed cases (35 patients) of massive rotator cuff tears were investigated in this study. Grade of arthritis in the massive rotator cuff tears was classified based on plain radiographs using the method of Hamada et al.. And we clinically evaluated cases using the UCLA scoring system. Results: No statistically significant correlation ($r_s$=0.220, p=0.151) was found between arthritis grades in massive rotator cuff tears and clinical features. Dominant arm involvement appeared to be related to a higher rate of surgical treatment and a lower UCLA score. Conclusion: In massive rotator cuff tear patients, radiographic findings of arthritis may not always correspond to clinical features relevant in daily life. Therefore, we suggest that treatment strategies should be carefully considered when considering treatment modalities.

The Biological and Biochemical Characteristics of Staphylococcus epidermidis Isolated from Diseased Cultured Flounder, Paralichthys olivaceus (양식 넙치에서 분리한 Staphylococcus epidermidis의 생물학적 및 생화학적 특성)

  • Sim, Doo-Saing;Jung, Sung-Hee;Park, Hyung-Sook;Chun, She-Kyu
    • Journal of fish pathology
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    • v.7 no.1
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    • pp.23-36
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    • 1994
  • A total of 8 strains of Staphylococcus epidermidis isolated in land-marine tank system of Kyongnam and Kyongbuk. Prefecture were tested for the biological and biochemical characteristics. These strains were isolated from pathologic specimens of cultured flounder. Paralichthys olivaceus. Growth of the isolates was good on BHIA, HIA. Staphylococcus No. 110 and ETGP. Growth was good at NaCl concentration between 2.0 and 3.0%, about $30^{\circ}C$ and at pH values about 7.0. DNase and coagulase production were negative, and all isolates except FSJ-2 strain were positive in hemolysis. Urease was positive reaction, and novobiocin resistance was negative. Acid was produced anaerobically from glucose and maltose. All isolates except FSJ-19 strain produced weakly were negative in anaerobic acid production from mannitol. Acid was produced aerobically from glucose, fructose, galactose, sucrose, maltose and dextrine. But all isolates were not gas production. In characterization of clinically isolates, four different biotype codes were obtained when the all isolated were tested simultaneously. Four different antibiotic susceptibility patterns were obtained. On the basis of these characteristics, the isolates were identified as Staphylococcus epidermidis.

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The Development and Application of Office Price Index for Benchmark in Seoul using Repeat Sales Model (반복매매모형을 활용한 서울시 오피스 벤치마크 가격지수 개발 및 시험적 적용 연구)

  • Ryu, Kang Min;Song, Ki Wook
    • Land and Housing Review
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    • v.11 no.2
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    • pp.33-46
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    • 2020
  • As the fastest growing office transaction volume in Korea, there's been a need for development of indicators to accurately diagnose the office capital market. The purpose of this paper is experimentally calculate to the office price index for effective benchmark indices in Seoul. The quantitative methodology used a Case-Shiller Repeat Sales Model (1991), based on actual multiple office transaction dataset with over minimum 1,653 ㎡ from Q3 1999 to 4Q 2019 in the case of 1,536 buildings within Seoul Metropolitan. In addition, the collected historical data and spatial statistical analysis tools were treated with the SAS 9.4 and ArcGIS 10.7 programs. The main empirical results of research are briefly summarized as follows; First, Seoul office price index was estimated to be 344.3 point (2001.1Q=100.0P) at the end of 2019, and has more than tripled over the past two decades. it means that the sales price of office per 3.3 ㎡ has consistently risen more than 12% every year since 2000, which is far above the indices for apartment housing index, announced by the MOLIT (2009). Second, between quarterly and annual office price index for the two-step estimation of the MIT Real Estate Research Center (MIT/CRE), T, L, AL variables have statistically significant coefficient (Beta) all of the mode l (p<0.01). Third, it was possible to produce a more stable office price index against the basic index by using the Moore-Penrose's pseoudo inverse technique at low transaction frequency. Fourth, as an lagging indicators, the office price index is closely related to key macroeconomic indicators, such as GDP(+), KOSPI(+), interest rates (5-year KTB, -). This facts indicate that long-term office investment tends to outperform other financial assets owing to high return and low risk pattern. In conclusion, these findings are practically meaningful to presenting an new office price index that increases accuracy and then attempting to preliminary applications for the case of Seoul. Moreover, it can provide sincerely useful benchmark about investing an office and predicting changes of the sales price among market participants (e.g. policy maker, investor, landlord, tenant, user) in the future.

Hydrogeochemical Characteristics of Groundwater on Well Depth Variation in the Heunghae Area, Korea (심도 변화에 따른 흥해지역 지하수의 수리 지화학적 특성)

  • Yun Uk;Cho Byong-Wook
    • The Journal of Engineering Geology
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    • v.15 no.4 s.42
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    • pp.391-405
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    • 2005
  • Chemical and isotopic analysis for stream water, shallow groundwater, intermediate groundwater and deep groundwater was carried out to grasp hydrogeochemical characteristics of groundwater in the Heunghae area, Pohang city. Water type of stream water and shallow groundwaters is typified as Ca-Cl type, intermediate groundwater is $Na-HCO_3$, and deep groundwater is prominent in Wa-Cl type. $HCO_3^-\;and\;SiO_2$ in shallow groundwater are originated from weathering of silicate minerals, whereas those of deep groundwaters are resulted from weathering of carbonate minerals. Ca and Mg ions in both shallow and deep groundwaters are resulted from weathering of calcite and dolomite. $SO_4^{2-}$ in shallow groundwater is originated mainly from pyrite oxidation. As well depth increases, pH and TDS increase, but Eh and DO decrease. Alkali metal contents(K, Na, Li) increases as well depth increases, but alkali earth metal(Mg, Ca) and hi concentrations increase as well depth decreases. Anions, halogen elements(F, Cl, Br), and $HCO_3$ contents increase as well depth increases. The average stable isotope value of the groundwater of each depth is as follows; deep groundwater: ${\delta}^{18}O=-10.1\%o,\;{\delta}D=-65.8\%_{\circ}$, intermediate groundwater: ${\delta}^{18}O=-8.9\%_{\circ},\;{\delta}D=-59.6\%_{\circ}$, shallow groungwater : ${\delta}^{18}O=-8.0\%_{\circ},\;{\delta}D=-53.6\%_{\circ}$, surface water : ${\delta}^{18}O=-7.9\%_{\circ},\;{\delta}D=-53.3\%_{\circ}$ respectively.

Synthesis of Polyamine Type Flocculant and Properties in Potable Water Treatment (Polyamine계 고분자 응집제의 합성 및 상수 처리 특성)

  • Park, Lee-Soon;Shin, June-Ho;Choi, Sang-June;Shin, Myung-Chul;Lee, Seok-Hun
    • Applied Chemistry for Engineering
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    • v.9 no.4
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    • pp.542-547
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    • 1998
  • Polyamine type polymer flocculants were synthesized and their characterization, viscosity and flocculation studies were conducted. In order to increase the molecular weight of polyamine flocculant which was prepared by polycondensation reaction from dimethylamine and epichlorohydrin, a small amount of 1,6-hexanediamine was employed. The incorporation of 1,6-hexanediamine up to 5.5 mole % replacing corresponding part of dimethylamine gave a branched type polyamine sample with increased intrinsic viscosity ([${\eta}$]=0.46 in 1 wt % aqueous NaCl solution). The amount of 1,6-hexanediamine above 5.5 mole %, however, resulted in gelation during polymerization. Utilizing raw water from Maegok potable water treatment plant, it was found that the addition of polyamine flocculant at a concentration of 1 mg/L level could reduce the amount of polyaluminum chloride (PAC) inorganic flocculant by half (15 mg/L). It was also observed that the incoporation of polyamine flocculant at 1 mg/L level was effective in the higher pH raw water, while PAC inorganic flocculating agent alone was not effective.

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A Study on the Characteristics of Soil in the Asian Dust Source Regions of Mongolia (황사발원지 (몽골) 토양에 대한 특성 분석)

  • Kim, Deok-Rae;Kim, Jeong-Soo;Ban, Soo-Jin
    • Journal of Korean Society for Atmospheric Environment
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    • v.26 no.6
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    • pp.606-615
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    • 2010
  • This study aims to identify the characteristics of soil in Mongolia, one of the major Asian dust sources that influence the Korean Peninsula. Soil particle size was analyzed and the result shows that sand (57.5~97.3%) was identified prominently in most regions, followed by silt (2.5~34.7%) and clay (0.0~7.8%). Soil pH of the covered regions were in the range 7.1~10.1, either weak alkaline or strong alkaline. Analysis of ion species in the soil samples exhibited that $Na^+$ ($91.9\;mg\;kg^{-1}$), $Cl^-$ ($65.9\;mg\;kg^{-1}$), and $Ca^{2+}$ ($53.5\;mg\;kg^{-1}$) were detected more in the soil than other species such as ${SO_4}^{2-}$ ($19.2\;mg\;kg^{-1}$), ${NO_3}^-$ ($46.6\;mg\;kg^{-1}$), ${NH_4}^+$ ($3.9\;mg\;kg^{-1}$), $K^+$ ($22.0\;mg\;kg^{-1}$), and $Mg^{2+}$ ($10.2\;mg\;kg^{-1}$). As for heavy metal content in the soil, concentrations of soil-borne metals including Fe, Al, Ca, Mg, and K tended to be high, while metals that come from manmade sources Pb, Cd, Cr, V, and Ni were remarkably low. The concentration of organic carbon (OC) was relatively high at $15.9\;{\mu}g\;mg^{-1}$, while elemental carbon (EC), directly released in the process of fossil fuel combustion, was not detected at all or found in very small amounts. The result indicates that pollution from manmade sources scarcely occurred. The analysis results from this study may contribute to improving modeling accuracy by providing input data for Asian dust prediction models, and be used as base data for determining the process of physiochemical transformation of Asian dust during long-range transport.

Work Hours and Cognitive Function: The Multi-Ethnic Study of Atherosclerosis

  • Charles, Luenda E.;Fekedulegn, Desta;Burchfiel, Cecil M.;Fujishiro, Kaori;Hazzouri, Adina Zeki Al;Fitzpatrick, Annette L.;Rapp, Stephen R.
    • Safety and Health at Work
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    • v.11 no.2
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    • pp.178-186
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    • 2020
  • Background: Cognitive impairment is a public health burden. Our objective was to investigate associations between work hours and cognitive function. Methods: Multi-Ethnic Study of Atherosclerosis (MESA) participants (n = 2,497; 50.7% men; age range 44-84 years) reported hours per week worked in all jobs in Exams 1 (2000-2002), 2 (2002-2004), 3 (2004-2005), and 5 (2010-2011). Cognitive function was assessed (Exam 5) using the Cognitive Abilities Screening Instrument (version 2), a measure of global cognitive functioning; the Digit Symbol Coding, a measure of processing speed; and the Digit Span test, a measure of attention and working memory. We used a prospective approach and linear regression to assess associations for every 10 hours of work. Results: Among all participants, associations of hours worked with cognitive function of any type were not statistically significant. In occupation-stratified analyses (interaction p = 0.051), longer work hours were associated with poorer global cognitive function among Sales/Office and blue-collar workers, after adjustment for age, sex, physical activity, body mass index, race/ethnicity, educational level, annual income, history of heart attack, diabetes, apolipoprotein E-epsilon 4 allele (ApoE4) status, birth-place, number of years in the United States, language spoken at MESA Exam 1, and work hours at Exam 5 (β = -0.55, 95% CI = -0.99, -0.09) and (β = -0.80, -1.51, -0.09), respectively. In occupation-stratified analyses (interaction p = 0.040), we also observed an inverse association with processing speed among blue-collar workers (adjusted β = -0.80, -1.52, -0.07). Sex, race/ethnicity, and ApoE4 did not significantly modify associations between work hours and cognitive function. Conclusion: Weak inverse associations were observed between work hours and cognitive function among Sales/Office and blue-collar workers.